Testing Specialist

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Testing Specialist is responsible for performing Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS.

Responsibilities

• Review client benefit intent and translate it into clear test conditions for plan testing.
• Design test strategies, test plans, and test scenarios that validate the intended plan behavior.
• Execute plan testing in ACAS by processing test claims and confirming expected claims outcomes.
• Research testing issues when results do not align with expected outcomes and determine the appropriate next steps.
• Log confirmed defects with the appropriate contacts and support resolution through follow-up and clarification.
• Resolve questions and concerns that arise during the testing process by collaborating with the appropriate stakeholders.
• Continuously review automation opportunities and recommend improvements to strengthen testing efficiency and coverage.
• Analyze defect trends and adjust test strategies, scenarios, or claims selections as needed.

Requirements

• 3+ years of experience with the ACAS platform and specific knowledge of medical plan and claims adjudication.
• Strong business and organizational knowledge.
• Ability to manage multiple tasks and deliver assignments within projected timelines.

Preferred Qualifications

• Excellent verbal and written communication skills.

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.